Stephanie Lee Davis

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

229 W Gentry Ave
Checotah, OK 74426-2439

Phone

(918) 473-1575

Fax

(918) 473-3185

NPI assigned

Feb 21, 2017

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green Country Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muskogee, OK
  • NPI 1336203132
  Medicare reassignment NPD
• Choices for Life Foster Care, Inc.

  • Community/Behavioral Health Agency
  • Checotah, OK
  • NPI 1346300027
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1770022956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W GENTRY AVE",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744262439",
            "telephone_number": "918-473-1575",
            "fax_number": "918-473-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W GENTRY AVE",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744262439",
            "telephone_number": "918-473-1575",
            "fax_number": "918-473-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heath Bryan Coleman, DDS
• Leah Renee Cook
• Mary Cooper, LCSW
• Erin Elizabeth Corbin, MD
• Kathy Dan
• Kenneth Wayne Dewitt
• Casi Dowdy, MSW
• Frankie Dunback
• Amanda A Elfezzazi, APRN-CNP, AGPCNP
• Laura Gayle Fairchild

• Social Worker in Checotah, OK
• Providers in Checotah, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.